Active NPI
Heather Porter, HIS
- Hearing Instrument Specialist
- Pleasanton, CA
National Provider Identifier
1629731518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 8693
- Practice address
- 4460 Black Ave Ste F
Pleasanton, CA 94566-6139 - Phone
- (925) 484-3507
- Fax
- (925) 484-3556
- NPI assigned
- Oct 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 8693 | CA | Primary |
Addresses
Primary practice location
4460 Black Ave Ste F
Pleasanton, CA 94566-6139
Mailing address
750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1629731518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N COMMONS DR STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605047940",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 BLACK AVE STE F",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666139",
"telephone_number": "925-484-3507",
"fax_number": "925-484-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "HEATHER",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "8693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
- Pleasanton Surgical Center
- Pleasanton Unified School Dist
- Pleasanton Urgent Care Medical Clinic (Richard A. Nolan, M.D., dba)
- Plushcare of California Inc a Professional Corporation
- Tkeyah Pollard
- Portia Bell Hume Behavioral Health and Training Center
- Portia Bell Hume Behavioral Health and Training Center
- Portia Bell Hume Behavioral Health and Training Center (The Hume Center)
- Portia Bell Hume Behavioral Health and Training Center
- Jessalynn R Potts, D.P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.